Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 036.134587 | IL |
Y | 207QS0010X | Family Doctor - Sports Medicine | 036134587 | IL |
NPI | 1245539725 |
---|---|
Provider Name | Dr. Kirsten Eileen Geary |
First Address | Skokie, IL 60076-5006 |
Second Address | Skokie, IL 60076-5006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2011 |
Last Update Date | 12/01/2020 |